Post on 16-Jul-2015
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Edematous swelling of vagina mucosa
Immediately cranial to the urethral orifice
Large mass to protrude outside the vulvar lips
Under the influence of estrogen
3 to 10 day old swollen, edematous, dry, ulcerated mass Self mutilation: 2 cases Age : 1 to 8 years
nullipara, primipara & multipara bitches
Pear shaped, doughnut shaped mass protruding from the vulva
Tumors Fibroma Leiomyoma Originated from the
ventral vaginal floor Cranial to the urethral
orifice
Diagnosis: Vaginal edema & vaginal fold prolapse
Medical Application of LA jelly, glucocorticoid ointment Systemic antibiotics, NSAIDs, B-vitamins Relapse
Protocol I- Sedation with butorphanol@0.02mg/kg body
weight i/m Epidural anaesthesia under 2% lignocaine HCl Protocol II- Dissociative anaesthesia Atropine-xylazine-ketamine combination.
Amputation is the treatment of choice
Needle & two suture strands traversed through the base of edematous mucosa
Individual sutures are tied
Redundant vaginal mucosa is amputated
Cryosurgery done in 1 case
Urethra catheterized to prevent damage
Stump retracts back into the vaginal cavity
Vaginal digital examination done after 1 week to ensure vaginal patency
Smooth muscles bundles of vulva showing localised hydropic degeneration along with accumulation of non-inflammatory
edema in the interstitial spaces (H&E 20X)
Smooth muscles of vulva showing diffuse hydropic degeneration, edema and infiltration of inflammatory mononuclear cells
(MNCs) in the interstitium (H&E 20X)
Smooth muscles of vulva showing diffuse hydropic degeneration along with accumulation of non-inflammatory edema in the
interstitial spaces (H&E 20X)